Evidence map›Paper›PMID 34985585›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2022

Measuring the acceptability of EQ-5D-3L health states for different ages: a new adaptive survey methodology.

Zoltán Hermann, Márta Péntek, László Gulácsi, Irén Anna Kopcsóné Németh, Zsombor Zrubka

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zoltán HermannInstitute of Economics, Centre for Economic and Regional Studies, Tóth Kálmán u 4., Budapest, 1097, Hungary.ORCID http://orcid.org/0000-0001-9805-9905
Márta PéntekHealth Economics Research Center, Óbuda University, Bécsi út 96/b, Budapest, 1034, Hungary. pentek.marta@uni-obuda.hu.ORCID http://orcid.org/0000-0001-9636-6012
László GulácsiHealth Economics Research Center, Óbuda University, Bécsi út 96/b, Budapest, 1034, Hungary.ORCID http://orcid.org/0000-0002-9285-8746
Irén Anna Kopcsóné NémethDepartment of Infection Control, Medical Centre, Hungarian Defence Forces, Róbert Károly körút 44., Budapeset, 1134, Hungary.
Zsombor ZrubkaHealth Economics Research Center, Óbuda University, Bécsi út 96/b, Budapest, 1034, Hungary.ORCID http://orcid.org/0000-0002-1992-6087

Funding

H2020 European Research Council 679681Nemzeti Kutatási, Fejlesztési és Innovaciós Alap 2019-1.3.1-KKNemzeti Kutatási, Fejlesztési és Innovaciós Alap TKP2020-NKA-02
6 · The paper itself

Abstract

backgroundAcceptable health and sufficientarianism are emerging concepts in health resource allocation. We defined acceptability as the proportion of the general population who consider a health state acceptable for a given age. Previous studies surveyed the acceptability of health problems separately per EQ-5D-3L domain, while the acceptability of health states with co-occurring problems was barely explored.

objectiveTo quantify the acceptability of 243 EQ-5D-3L health states for six ages from 30 to 80 years: 1458 health state-age combinations (HAcs), denoted as the acceptability set of EQ-5D-3L.

methodsIn 2019, an online representative survey was conducted in the Hungarian general population. We developed a novel adaptive survey algorithm and a matching statistical measurement model. The acceptability of problems was evaluated separately per EQ-5D-3L domain, followed by joint evaluation of up to 15 HAcs. The selection of HAcs depended on respondents' previous responses. We used an empirical Bayes measurement model to estimate the full acceptability set.

results1375 respondents (female: 50.7%) were included with mean (SD) age of 46.7 (14.6) years. We demonstrated that single problems that were acceptable separately for a given age were less acceptable when co-occurring jointly (p < 0.001). For 30 years of age, EQ-5D-3L health states of '11112' (11.9%) and '33333' (1%), while for 80 years of age '21111' (93.3%) and '33333' (7.4%) had highest and lowest acceptability (% of population), respectively.

conclusionThe acceptability set of EQ-5D-3L quantifies societal preferences concerning age and disease severity. Its measurement profiles and potential role in health resource allocation needs further exploration.

Indexed as

Health StatusQuality of LifeAdultAgedAged, 80 and overBayes TheoremFemaleHumansMiddle AgedSeverity of Illness IndexSurveys and QuestionnairesAcceptabilityEQ-5DPriority settingSocietal preferencesSufficientarianism

Identifiers

PMID34985585
PMCPMC9395309

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.